# BIENESTAR HEALTH GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699314500
- **Authorized official:** DR. JOSE R DE TERREFORTE-DIAZ MD, MPH (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (939) 545-0522

## Contact information

- **Practice address:** CALLE BALDORIOTY 165 NORTE, BUZON \#2, BARRIO LLANOS, AIBONITO, PR 00705
- **Practice address phone:** (939) 545-0522
- **Practice address fax:** (939) 545-0700
- **Mailing address:** CALLE BALDORIOTY 165 NORTE, BUZON \#2, BARRIO LLANOS, AIBONITO, PR 00705
- **Mailing address phone:** (939) 545-0522
- **Mailing address fax:** (939) 545-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/26/2019
- **Last updated:** 10/07/2021